Details
Stereochemistry | EPIMERIC |
Molecular Formula | C19H19ClN6O2 |
Molecular Weight | 398.846 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@@H](CN1C=CC(=N1)C2=CC=C(C#N)C(Cl)=C2)NC(=O)C3=NNC(=C3)C(C)O
InChI
InChIKey=BLIJXOOIHRSQRB-PXYINDEMSA-N
InChI=1S/C19H19ClN6O2/c1-11(22-19(28)18-8-17(12(2)27)23-24-18)10-26-6-5-16(25-26)13-3-4-14(9-21)15(20)7-13/h3-8,11-12,27H,10H2,1-2H3,(H,22,28)(H,23,24)/t11-,12?/m0/s1
Molecular Formula | C19H19ClN6O2 |
Molecular Weight | 398.846 |
Charge | 0 |
Count |
|
Stereochemistry | EPIMERIC |
Additional Stereochemistry | No |
Defined Stereocenters | 1 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: https://newdrugapprovals.org/2016/03/12/odm-201/Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26137992 | https://www.ncbi.nlm.nih.gov/pubmed/26313416
Sources: https://newdrugapprovals.org/2016/03/12/odm-201/
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26137992 | https://www.ncbi.nlm.nih.gov/pubmed/26313416
ODM-201 (also known as BAY-1841788) is a non-steroidal antiandrogen, specifically, a full and high-affinity antagonist of the androgen receptor (AR), that is under development by Orion and Bayer HealthCare for the treatment of advanced, castration-resistant prostate cancer (CRPC). ODM-201 appears to negligibly cross the blood-brain-barrier. This is beneficial due to the reduced risk of seizures and other central side effects from off-target GABAA receptor inhibition that tends to occur in non-steroidal antiandrogens that are structurally similar to enzalutamide. Moreover, in accordance with its lack of central penetration, ODM-201 does not seem to increase testosterone levels in mice or humans, unlike other non-steroidal antiandrogens. Another advantage is that ODM-201 has been found to block the activity of all tested/well-known mutant ARs in prostate cancer, including the recently-identified clinically-relevant F876L mutation. ODM-201 has been studied in phase I and phase II clinical trials and has thus far been found to be effective and well-tolerated, with the most commonly reported side effects including fatigue, nausea, and diarrhea. No seizures have been observed.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1871 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26137992 |
65.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.79 mg/L |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ODM-201 plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
52.82 μg × h/mL |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ODM-201 plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
20 h |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
ODM-201 plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Disc. AE: Cardiac failure, Hypertension... AEs leading to discontinuation/dose reduction: Cardiac failure (0.4%) Sources: Hypertension (0.6%) Diarrhea (0.5%) Pneumonia (0.5%) Fatigue (0.7%) Hypertension (0.3%) Nausea (0.3%) |
900 mg 2 times / day steady, oral Highest studied dose Dose: 900 mg, 2 times / day Route: oral Route: steady Dose: 900 mg, 2 times / day Sources: |
unhealthy n = 3 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Population Size: 3 Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hypertension | 0.3% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Nausea | 0.3% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Cardiac failure | 0.4% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Diarrhea | 0.5% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Pneumonia | 0.5% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Hypertension | 0.6% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Fatigue | 0.7% Disc. AE |
600 mg 2 times / day steady, oral Recommended Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 74 years (range: 48–95 years) n = 954 Health Status: unhealthy Condition: non-metastatic castration-resistant prostate cancer Age Group: 74 years (range: 48–95 years) Sex: M Population Size: 954 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [IC50 4.46 uM] | unlikely (co-administration study) Comment: no change in the total and renal clearance of rosuvastatin by darolutamide Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=72 Page: 72.0 |
|||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >2 uM] | ||||
no [IC50 >2 uM] | ||||
no [IC50 >2 uM] | ||||
no [IC50 >300 uM] | ||||
no [IC50 >50 uM] | ||||
no [IC50 >50 uM] | ||||
no [IC50 >50 uM] | ||||
no [IC50 >50 uM] | ||||
no [IC50 >50 uM] | ||||
no [IC50 >60 uM] | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/212099Orig1s000lbl.pdf#page=7 Page: 7.0 |
no | |||
weak | weak (co-administration study) Comment: decreased the mean exposure (AUC) and Cmax of midazolam by 29% and 32%, respectively; did not show any increase but a mean decrease of less than 20% in the mean exposure (AUC) and Cmax of non-conjugated or total dabigatran Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=71 Page: 71.0 |
|||
yes [IC50 0.567 uM] | ||||
yes [IC50 1.33 uM] | yes (co-administration study) Comment: showed a 5.2-fold increase in AUC and a 4.9-fold increase in Cmax of rosuvastatin Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=72 Page: 72.0 |
|||
yes [IC50 16.4 uM] | ||||
yes [IC50 16.8 uM] | unlikely (co-administration study) Comment: no change in the total and renal clearance of rosuvastatin by darolutamide Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=72 Page: 72.0 |
|||
yes [IC50 2.57 uM] | ||||
yes [IC50 2.96 uM] | ||||
yes [IC50 32.3 uM] | ||||
yes [IC50 39.3 uM] | unlikely (co-administration study) Comment: no change in the total and renal clearance of rosuvastatin by darolutamide Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=72 Page: 72.0 |
|||
yes [IC50 9.5 uM] | ||||
yes [IC50 >10 uM] | ||||
yes [IC50 >10 uM] | ||||
yes [IC50 >10 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | yes (co-administration study) Comment: significant reduction in darolutamide exposure (72% reduction in darolutamide AUC72) when it is concomitantly used with rifampin; Inhibition of CYP3A4 and P-gp by itraconazole increased darolutamide exposure (AUC72) by 1.7 fold Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=71 Page: 72.0 |
|||
yes | yes (co-administration study) Comment: significant reduction in darolutamide exposure (72% reduction in darolutamide AUC72) when it is concomitantly used with rifampin; Inhibition of CYP3A4 and P-gp by itraconazole increased darolutamide exposure (AUC72) by 1.7 fold Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/212099Orig1s000MultidisciplineR.pdf#page=71 Page: 72.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26313416
In the Phase II patients were treated orally with 200 mg/day, 400 mg/day or 1400 mg/day of ODM-201.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26137992
Antagonism to wtAR was determined using AR-HEK293 cells treated with ODM-201 up to 1 uM. The cells were treated with test compounds and 0.45 nM testosterone in steroid-free assay medium. After 24 hours cells were lysed and luciferase activity was measured.
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 11:14:24 GMT 2023
by
admin
on
Sat Dec 16 11:14:24 GMT 2023
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Record UNII |
X05U0N2RCO
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Record Status |
Validated (UNII)
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C146993
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METABOLIC ENZYME -> SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> SUBSTRATE |
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Tmax | PHARMACOKINETIC |
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MULTIPLE ORAL ADMINISTRATION |
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blood-to-plasma ratio | PHARMACOKINETIC |
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Biological Half-life | PHARMACOKINETIC |
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Volume of Distribution | PHARMACOKINETIC |
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